Clinical governance in Dutch hospitals

2014 ◽  
Vol 19 (4) ◽  
pp. 322-331 ◽  
Author(s):  
Daan Botje ◽  
Thomas Plochg ◽  
Niek S. Klazinga ◽  
Cordula Wagner
Keyword(s):  
Information Sharing ◽  
Business Case ◽  
Clinical Governance ◽  
Performance Information ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Content Type ◽  
Medical Specialists ◽  
Almost All ◽  
Executive Boards

Purpose – For accountability purposes, performance information sharing and clear divisions of responsibilities between medical specialists and executive boards are critical. The purpose of this paper is to explore whether these aspects of clinical governance have been taken up by executive boards and medical specialists in the Netherlands. Design/methodology/approach – This cross-sectional study aimed to explore the information-sharing between medical specialists and executive boards in Dutch hospitals as one key aspect of clinical governance. Between November 2010 and February 2011, 67 medical staff board chairs and 40 chief executive officers completed an online questionnaire concerning information-sharing and the clinical governance practices within their respective hospitals. Findings – Almost all respondents acknowledged the importance of information-sharing. However, the actual sharing differed per type of performance information. Policy/management information was shared more often than patient care information. Similarly, medical specialists differ in the degree of responsibility the take for specific clinical governance tasks. Almost all were involved in managing complication registries (99 per cent), while few managed hospital accreditation (55 per cent). Research limitations/implications – With executive boards and medical specialists being increasingly dependent of a shared budget, they have an extra incentive to share information and to take up clinical governance tasks. The study showed that Dutch medical specialists are sharing many types of performance information with the executive board, but that this should be increased to comply with the codes. Thus far, few hospital managers in the study have formalised this in an information protocol, which is potentially the next step for other hospital staff to incorporate as well. Those who have an information protocol seem to be aware of the business case for quality. Originality/value – This study is the first attempt to explore to what extent Dutch medical specialists share performance information with their respective executive boards and take up clinical governance tasks.

Business case effectiveness: the critical role of the organization

2020 ◽  
Vol 13 (5) ◽  
pp. 1051-1075
Author(s):  
Frank Einhorn ◽  
Jack Meredith ◽  
Carl Marnewick
Keyword(s):  
Critical Role ◽  
Organizational Factors ◽  
Business Case ◽  
It Projects ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Content Type ◽  
Business Cases ◽  
Effective Use

PurposeLiterature indicates that the business case for projects is difficult to use and suggests that there are organizational factors that can facilitate effective use of the business case. This paper aims to identify such facilitators, measure their presence and importance, and relate them to the actual practice of business case processes.Design/methodology/approachA cross sectional quantitative method was used, with data on facilitators and business case process usage gathered through an online questionnaire.FindingsThe findings for the 43 organizational facilitators are that each one is considered more important than its presence in the respondents' organizations. High correlations emerge between the presence of the facilitators and the use of business case processes, indicating the pivotal role of the facilitators.Research limitations/implicationsThe research was conducted for business IT projects implemented by organizations based in South Africa. It furthers our understanding of project business cases and suggests additional research avenues in this area.Practical implicationsThe findings indicate that organizations could improve key facilitators at an affordable cost. Such improvement would enable more effective use of the business case throughout the project's lifetime – from initial concept until planned benefits have been substantially realized. Better use of the business case would also support governance and increase the success rate of business IT projects.Originality/valueOrganizational facilitators of business case processes are identified and categorized for the first time, leading to measurements of their perceived importance and presence in organizations. Hence, the relationship between these facilitators and actual business case usage is determined, suggesting areas of optimum impact.

Demonstration of the relationship between MSD and online learning during the COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kochu Therisa Karingada ◽  
Michael Sony
Keyword(s):  
Online Learning ◽  
Undergraduate Students ◽  
Online Survey ◽  
Cross Sectional Study ◽  
The Body ◽  
Body Parts ◽  
Cross Sectional ◽  
Content Type ◽  
The Right ◽  
Almost All

PurposeThe COVID-19 pandemic lockdown has caught many educational institutions by surprise and warranted an abrupt migration from offline to online learning. This has resulted in an education change, without any time for due consideration, as regards its impact on musculoskeletal disorders (MSD) on students. The purpose of this study is to investigate MSD related to online learning during the COVID-19 pandemic lockdown.Design/methodology/approachA cross-sectional study was conducted on undergraduate students in India. In total, 261 students participated in this online survey.FindingsThe study finds that around 80% of students have reported some symptom in the head, neck and eyes since they started online learning. In total, 58% have reported MSD symptom in the right shoulder and 56% in the right hand fingers. Besides, more than 40 % of students experienced some MSD symptoms, in almost all the body parts studied, due to online learning. Correlation analysis is conducted between time spent on online learning per day and MSD symptoms.Originality/valueThis is the first study conducted on MSD and online learning during COVID-19 pandemic.

Servant leadership and the Scrum team’s effectiveness

2018 ◽  
Vol 39 (7) ◽  
pp. 873-882 ◽  
Author(s):  
Nico Holtzhausen ◽  
Jeremias J. de Klerk
Keyword(s):  
Servant Leadership ◽  
Cross Sectional Study ◽  
Organizational Level ◽  
Western Cape ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Content Type ◽  
Team Members ◽  
Software Development Teams ◽  
Leader Role

Purpose Scrum is a development methodology that has been rapidly gaining popularity over the last decade particularly for software development teams. The Scrum master is sometimes viewed as a servant leader of the Scrum team. The purpose of this paper is to investigate to what extent Scrum masters actually make use of servant leadership and how this impacts on the team’s effectiveness via mediating processes. Design/methodology/approach The research followed a quantitative approach. An online questionnaire was prepared and completed by 71 Scrum team members (excluding Scrum masters) and 22 Scrum masters in more than ten organizations based in Western Cape, South Africa. Findings Scrum masters in this sample extensively used the servant leadership approach, but those who are also appointed as formal team leaders are seen to be considerably better servant leaders by team members. There is a moderately strong correlation between servant leadership of the Scrum master and team effectiveness. It was found that high levels of psychological safety do not necessarily translate into team performance. Research limitations/implications Research was only performed at the unit level of analysis and not the team or organizational level. This was a cross-sectional study and variations over time were not considered. Practical implications The results confirm the importance of servant leadership skills when identifying and developing Scrum masters, appointing the formal team leader role in Scrum teams and implementing Scrum practices effectively. Originality/value As could be established, this is the first time that the role of servant leadership in Scrum teams was formally investigated.

Determinants of opportunism in Uganda’s manufacturing sector:a comparison of two sectors

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sarah Eyaa ◽  
Ramaswami Sridharan ◽  
Suzanne Ryan
Keyword(s):  
Information Sharing ◽  
Agricultural Sector ◽  
Environmental Uncertainty ◽  
Manufacturing Firms ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Power Asymmetry ◽  
Content Type ◽  
Manufacturing Sectors ◽  
The Impact

Purpose The purpose of this paper is to propose a conceptual model investigating the impact of three constructs, environmental uncertainty, power asymmetry and information sharing on opportunism engagement in exchange relationships. Design/methodology/approach Data were collected from procurement or sales managers of 99 manufacturing firms in Kampala, Uganda’s capital using a cross-sectional survey. Hypotheses were tested in both the agricultural and non-agricultural manufacturing sectors using multiple regression runs in the SPSS software. Findings Environmental uncertainty increases opportunism in the agricultural sector whilst power asymmetry increases opportunism in the non-agricultural sector. Across both sectors, information sharing does not have a significant impact on opportunism. Originality/value This paper contributes to a deeper understanding of opportunism in a developing country context by highlighting the contextual factors within the agricultural and non-agricultural manufacturing sectors that influence opportunism engagement under conditions of environmental uncertainty, power asymmetry and information sharing. This paper presents implications for practice and policy to minimise opportunism with the goal of enhancing the participation of Ugandan manufacturing firms in global supply chains.

Household food providers’ attitudes to the regulation of food marketing and government promotion of healthy foods in five countries in the Asia Pacific region

2018 ◽  
Vol 120 (6) ◽  
pp. 1236-1249 ◽  
Author(s):  
Anthony Worsley ◽  
Wei Chun Wang ◽  
Rani Sarmugam ◽  
Quynh Pham ◽  
Judhiastuty Februhartanty ◽  
...  
Keyword(s):  
Personal Values ◽  
Asia Pacific ◽  
Food Marketing ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Content Type ◽  
Future Studies ◽  
Household Food

Purpose The purpose of this paper is to understand middle class household food providers’ attitudes to the regulation of food marketing and the promotion of healthy food practices. Design/methodology/approach A cross-sectional, online questionnaire survey was administered to 3,925 urban respondents in Indonesia, Melbourne, Shanghai, Singapore and Vietnam. Cross-tabulation, confirmatory factor analyses and multiple regression analyses were employed. Findings Most respondents supported government communications to promote healthy eating and to a lesser extent, regulatory measures to control unhealthy food marketing. Personal values and country of residence were more strongly associated with the respondents’ views than demographic variables. Overall, strongest support for nutrition promotion and for stricter regulation of food marketing was seen in Shanghai, Indonesia and Vietnam. Broadly, two groups were identified across the region: those who held equality-nature or tradition-security-conformity personal values, who disapproved of food marketing but supported government health promotion campaigns, and, those with stronger hedonist values who held opposite views. Research limitations/implications First, a wider range of personal values could be included in future studies to better represent Asian values. Second, changes in population views could be assessed in future longitudinal studies. Finally, future studies should include dietary assessments and the views of people from a variety of socio-economic and cultural backgrounds. Practical implications These findings suggest that health policy makers and communicators need to frame their communications to match the world views of household food providers in their countries. Originality/value The study provides confirmation of attitude-values theories within five different countries in the Asia Pacific region and demonstrates the importance of personal values and country of residence in influencing food providers’ views.

On the nomological net of (non-)workaholic subtypes

2019 ◽  
Vol 24 (7) ◽  
pp. 672-685
Author(s):  
Greta Ontrup ◽  
Justine Patrzek
Keyword(s):  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Statistical Technique ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Content Type ◽  
Future Studies ◽  
Model Based Clustering ◽  
Starting Point ◽  
Cross Sectional Design

Purpose Research on workaholism distinguishes between enthusiastic and non-enthusiastic workaholics, a typology used in many studies. Yet, the methodical foundation on which the derivation of the types is based lacks robust statistical evidence. The purpose of this paper is twofold: first, to replicate the often-cited typology of enthusiastic and non-enthusiastic workaholics (and non-workaholic subtypes), based on model-based clustering as a robust statistical technique; and second, to validate the class solution based on affective, cognitive and behavioral measures. Design/methodology/approach The study followed a cross-sectional design, targeting a sample of people from various fields of industries. An online questionnaire was distributed; workaholism was assessed with McMillan et al.’s (2002) Work-BAT-R scales. A total of 537 respondents’ data were analyzed. Findings Latent profile analysis extracted four classes, namely, enthusiastic and non-enthusiastic workaholics and relaxed and uninvolved non-workaholics. As expected, workers characterized by high enjoyment (enthusiasts and relaxed) showed higher job satisfaction and occupational self-efficacy than workers with low enjoyment (non-enthusiasts and uninvolved). Relaxed workers reported higher life satisfaction than all other classes. Originality/value The robust methodology applied establishes a good starting point for future studies investigating workers subtypes: the replication suggests that the workaholic subtypes might be core profiles that occur in different populations with regularity. As a next step, the replication of the typology based on alternative operationalizations of workaholism is proposed for future studies.

The nexus of corporate social responsibility (CSR), affective commitment and organisational citizenship behaviour in academia

2020 ◽  
Vol 42 (1) ◽  
pp. 232-247 ◽  
Author(s):  
Rashid Ahmad ◽  
Saima Ahmad ◽  
Talat Islam ◽  
Ahmad Kaleem
Keyword(s):  
Corporate Social Responsibility ◽  
Social Responsibility ◽  
Structural Equation ◽  
Affective Commitment ◽  
Academic Staff ◽  
Business Case ◽  
Research Data ◽  
Cross Sectional ◽  
Content Type ◽  
Corporate Social

Purpose The purpose of this paper is to advance knowledge on the implications of perceived corporate social responsibility (CSR) on employee levels of commitment and citizenship behaviour (OCB) by investigating a trust-based mediational process in the context of academia. Design/methodology/approach The research data are collected from a sample of 736 academics through a questionnaire based survey administered in different Pakistani universities. The nature of trust-based mechanism underlying the relationships between CSR, affective commitment and OCB is determined through structural equation modelling of the research data. Findings The findings suggest that the perceived CSR is an important predictor of academics’ attitudes and behaviour in universities. Whilst the findings implicate the mediating role of trust in the process by which perceived CSR influences academics’ commitment, trust does not appear to mediate the perceived CSR’s relationship with OCB. Research limitations/implications This study utilises single-sourced and cross-sectional data, which may have resulted in common method bias. Practical implications By furnishing evidence of the beneficial effects of perceived CSR on academics’ levels of trust, commitment and citizenship behaviour, this study provides a business case for universities’ involvement in CSR. The findings are particularly useful to academic administrators and managers who are interested in nurturing positive attitudes and behaviours amongst academic staff. Originality/value There is a paucity of research on CSR in the academic work settings of developing countries. This is the first study to examine the trust-based microfoundation of CSR in the context of academia in Pakistan.

scholarly journals A flash in the pan or a permanent change? The growth of homeworking during the pandemic and its effect on employee productivity in the UK

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Alan Felstead ◽  
Darja Reuschke
Keyword(s):  
Online Survey ◽  
Labour Force ◽  
Business Case ◽  
Employee Productivity ◽  
Cross Sectional ◽  
Working At Home ◽  
Content Type ◽  
Nationally Representative ◽  
The Uk ◽  
At Home

PurposeThis paper has three aims: Firstly, it puts the pandemic-induced surge in homeworking into context by charting trends in homeworking in the UK since the early 1980s. Secondly, it examines what effect the growth in homeworking during the pandemic has had on employees' self-reported levels of productivity. Thirdly, it assesses whether the spike in homeworking is a flash in the pan or a permanent feature of the post-pandemic world.Design/methodology/approachThe paper uses cross-sectional and longitudinal data taken from three nationally representative surveys of workers: (1) the Labour Force Survey (LFS), an official government survey carried out between 1981 and 2019; (2) a special module of the Opinions and Lifestyle Survey (OPN), also an official government survey, which has been run every week since the pandemic began in March 2020; and (3) the Understanding Society Covid-19 Study, an online survey of the same people interviewed on six occasions during 2020.FindingsThe recent surge in homeworking in the UK during the pandemic has been dramatic. Before 2020, it had taken almost 40 years for homeworking to grow by three percentage points, but its prevalence grew eight-fold virtually overnight as people were instructed to work at home if they can because of the pandemic. Despite theories and predictions to the contrary, employees reported that their productivity was not adversely affected. Seven out of ten employees said that they were able to get as much done while working at home in June 2020 as they were able to do six months earlier. By September 2020, this proportion had risen to 85%. However, around one in six homeworkers reported that their productivity had fallen.Research limitations/implicationsWhile there are solid theoretical reasons for the paper's findings, these data do not allow us to test all of the mechanisms involved. In addition, our outcome measure relies on employees' self-reports of how their hourly productivity changed when working at home and is not based on a direct measure of changes to output per hour. However, surveys of employers also suggest that, on average, productivity has not been reduced by the pandemic-induced surge in homeworking.Social implicationsThis paper argues that a higher level of homeworking is here to stay. Nine out of ten employees who worked at home during the pandemic said that they would like to continue working at home when they did not have to. Furthermore, those keenest to continue working at home were the most productive, hence providing a business case for a sustained increase in the prevalence of homeworking after the pandemic has passed. Nevertheless, the experience of homeworking varies with those with higher domestic commitments reporting significantly lower levels of productivity.Originality/valueThere is an urgent need to investigate what effect enforced, as opposed to voluntary, homeworking has had on employee productivity. In addition, in order to decide whether continued homeworking should be encouraged or discouraged, policymakers and employers need to know what effect continuing with these arrangements is likely to have on employee productivity. This paper answers these questions using robust survey data collected in the UK throughout 2020, complemented by evidence taken from a variety of employer surveys.

Relationship between clinical governance and hospital performance: a cross-sectional study of psychiatric hospitals in Ghana

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Joshua Cobby Azilaku ◽  
Patience Aseweh Abor ◽  
Aaron Asibi Abuosi ◽  
Emmanuel Anongeba Anaba ◽  
Abraham Titiati
Keyword(s):  
Health Workers ◽  
Psychiatric Hospitals ◽  
Clinical Effectiveness ◽  
Hospital Performance ◽  
Clinical Governance ◽  
Sub Saharan Africa ◽  
Standards Of Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type

PurposeClinical governance (CG) is crucial for healthcare quality of care improvement and safeguarding high standards of care. Little is known about CG in sub-Saharan Africa. The authors assessed health workers' perceptions of CG and hospital performance in Ghana's psychiatric hospitals.Design/methodology/approachA cross-sectional survey was conducted among 230 health workers across two psychiatric hospitals in Ghana. Data were collected with a structured questionnaire and analyzed with Statistical Package for Social Sciences (SPSS), version 23.0.FindingsThe majority (59.5%) of the respondents were females. The authors found that less than five in ten respondents felt that the hospitals have adopted measures to promote quality assurance (43.2%) and research and development (43.7%). However, a little above half of the respondents felt that the hospitals have adopted measures to promote education and training (57.7%); clinical audit (52.7%); risk management (50.7%) and clinical effectiveness (68.6%). The authors also found a statistically significant association between CG and hospital performance (p < 0.05).Research limitations/implicationsThere was a positive relationship between CG and hospital performance. Therefore, investing in CG may help to increase hospital performance.Originality/valueThis is the maiden study to investigate CG and hospital performance in Ghana's psychiatric hospitals and one of the few studies in Africa. This study makes a modest contribution to the global discourse on the subject matter.

scholarly journals Determinants of enrolment in the NHIS for women in Ghana – a cross sectional study

2018 ◽  
Vol 45 (9) ◽  
pp. 1318-1334 ◽  
Author(s):  
Anthony Kusi ◽  
Ama Fenny ◽  
Daniel Kojo Arhinful ◽  
Felix Ankomah Asante ◽  
Divya Parmar
Keyword(s):  
Social Exclusion ◽  
Social Systems ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Power Relationships ◽  
Wealth Status ◽  
Cross Sectional ◽  
Content Type ◽  
And Gender ◽  
Almost All

Purpose The National Health Insurance Scheme (NHIS) was introduced in 2005 to provide equitable access to healthcare. Furthermore, concessions were made for pregnant women, yet inequities in access continue to exist. The purpose of this paper is to explore whether dimensions of social exclusion explain why some groups of women are not benefitting from the scheme. Design/methodology/approach Data were collected from 4,050 representative households in five districts. Logistic regression is used to examine the factors that determine enrolment of women under the NHIS. Findings The study sample consists of a sub-sample of 3,173 women out of whom 58 per cent were insured. The majority (64.9 per cent) of the women were in the reproductive age (15–45 years). The results show that wealth status, age, health status, locality, perception about the quality of care at health facilities and perception of the NHIS, are the key factors that determine enrolment into the scheme. Practical implications By conceptualising social exclusion as the multi-dimensional processes driven by unequal power relationships which lead to differential inclusion and exclusion in social systems, the study provides evidence to show that certain groups of women are systemically excluded from participating in the NHIS. Social implications With women dominating the informal sector of Ghana’s economy which is often characterised by relatively low incomes, these inequities in access need to be addressed. Originality/value Although gender equality incorporates discussions on issues affecting men and women this paper focusses on women in Ghana due to disadvantaged position in which many of them find themselves in terms of access to resources. Almost all of the identified barriers in previous studies have been worsened by gender with women generally facing greater difficulties in accessing adequate care. Few of these papers have taken account the specific health needs and gender-specific constraints of women in the NHIS. The authors aim to fill this gap by using a social exclusion lens to explore whether Ghanaian women (i.e. 15 years and above) are participating in the NHIS and examine the processes by which exclusion occurs and what explains the patterns observed.

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